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Fluid analysis is fundamental and guides further diagnostic and therapeutic decisions. However, like all other medical procedures, it does come with some risks, such as: hoarseness. Pneumothorax: this complication occurs in approximately one in ten cases. Amiodarone-induced loculated pleural effusion without pulmonary parenchymal involvement: a case report and literature review. A chest tube, or a smaller drain with a curled end (pigtail catheter), stays inside your chest and drains fluid or air over a few days. The name derives from the Greek words thorax (chest) and centesis (puncture). Someone will surgically drape the area and get it ready for the procedure. Less commonly, the medical situation might require the person to be lying down. Thoracentesis or pleural tap, is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. Find more COVID-19 testing locations on Maryland.gov. Course Hero is not sponsored or endorsed by any college or university. 3. infection. Virtual Medical Centre is Australias leading source for trustworthy medical information written by health professionals based on Australian guidelines. Williams JG, Lerner AD. Thoracentesis removes some of the excess fluid surrounding the lungs when there is a pleural effusion. INTRODUCTION. distended neck veins, asymmetry of the site. : Bacteriological and cellular composition, T.B, To instill the medication, Contraindications:- 8;Z\7;6n(^#kThHoBPRA&&WO]ZIu_ZUXo7,Uau/AWQUi*j&[jI90g]lr9#tA5i By Ruth Jessen Hickman, MD Pulmonary angiography. This sac is made of two thin layers with a small amount of fluid between them. Therapeutic thoracentesis is indicated to relieve the symp- toms (e.g., dyspnea, cough, hypoxemia, or chest pain) You will stay in the hospital until the catheter 2017;8(1):130133. This is a condition in which the space between the lungs and the inside of the chest wall contains excess fluid. auscultate lungs, encourage deep breathe, obtain xray, -medianstinal shift Reexpansion pulmonary edema after therapeutic thoracentesis. Patients are usually asked to sit upright during the procedure. This is leakage of fluid, Report changes in mental status due to Policy. Types of Pneumothorax according to pathophysiology. Thoracentesis pre-procedure The patient is repositioned as appropriate for his or her comfort and respiratory status. If a large amount of fluid is removed during your procedure, your blood pressure may become very low. Therapeutic thoracentesis is indicated to relieve the symp- toms (e.g., dyspnea, cough, hypoxemia, or chest pain) . It is mainly used to treat pleural effusion, or the buildup of excess pleural fluid. Before the Procedure. Afterward, you could get a Alternative Names Pleural fluid aspiration; Pleural tap How the Test is Performed The test is done in the following way: You sit on a bed or on the edge of a chair or bed. Theyre minimized by locating the fluid with imaging before the procedure. In some cases, if it is expected that the fluid will reaccumulate quickly (such as in chest trauma) a drain might be connected before the needle is removed. Pleural fluid testing involves removing a sample of this fluid so that it can be analyzed using one or more laboratory methods. Thank you, {{form.email}}, for signing up. Same day appointments at different locations 4. Common causes of transudates are liver cirrhosis or heart failure. Common reasons to have thoracentesis done include: Thoracentesis treats pleural effusion, or excess fluid in the space between your lungs and your chest wall. Alternative Names Pleural fluid aspiration; Pleural tap How the Test is Performed The test is done in the following way: You sit on a bed or on the edge of a chair or bed. A. Transcript. J Hosp Med. Using either a rigid bronchoscope or flexible fiber optic bronchoscope -visualization of abnormalities -biopsy of suspicious tissue ( ex lung cancer) -aspiration of deep sputum or lung abcesses for C & S test, Doorbell Chime Humming After Nest Install. You may need extra oxygen if your blood oxygen level is lower than it should be. causes the lung to collapse (pneumothorax). Ultrasound use for guidance decreases the risk of complications. Prone with the head turned to the side and supported by a pillow. the spaces between the ribs, where the needle is inserted. With modern techniques, thoracentesis only rarely causes significant side effects. Available at URL: http://www.uptodate.com. INDICATION: _ PROCEDURE OPERATOR: _ ATTENDING PHYSICIAN: _ In Attendance (Y/N): _ CONSENT: [_] During the informed consent discussion regarding the procedure, or treatment, I explained the following to the patient/designee: a. Wheezing is a narrowing of the airways and indicates that the medication has not been effective. wall. %PDF-1.3 % 1 0 obj << /W [ 4503 [ 784 ] ] /Subtype /CIDFontType2 /FontDescriptor 80 0 R /BaseFont /ACDPNI+ArialUnicodeMS /CIDSystemInfo << /Supplement 0 /Ordering (Identity) /Registry (Adobe) >> /DW 1000 /Type /Font /CIDToGIDMap /Identity >> endobj 2 0 obj << /op true /OPM 1 /SM 0.02 /OP true /SA true /Type /ExtGState >> endobj 3 0 obj << /FontFile3 32 0 R /CharSet (/space/t/i/d/m/o/h/s/w/a/period/T/f/e/c/g/n/p/r/u/l/asterisk/L/v/C/colon/Q/comma/y/z) /CapHeight 714 /Ascent 714 /Flags 32 /ItalicAngle 0 /Descent -176 /XHeight 536 /FontName /ACDPKH+HelveticaNeue-Condensed /FontBBox [ -164 -212 1000 932 ] /StemH 84 /Type /FontDescriptor /StemV 84 >> endobj 4 0 obj << /Height 101 /BitsPerComponent 8 /Length 653 /ColorSpace 75 0 R /Width 80 /Filter [ /ASCII85Decode /FlateDecode ] >> stream View Thoracentesis diagnostic procedure.png from MEDSERG LPN at Eastern Suffolk Boces Adult Education Center. Pleura (Thousand Oaks). Numb the area with a needle and local anesthesia. The pleural Ruth Jessen Hickman, MD, is a freelance medical and health writer and published book author. You will be asked to hold still, breathe out deeply, or hold your Sometimes, people experiencing a pleural effusion have symptoms like shortness of breath, cough, or chest pain. If mild sedation is being considered, intravenous (IV) medications should be administered to the patient in advance. -ensure sterile technique is maintained, -remain absolutely still (risk of accidental needle Complications can include pneumothorax, puncture of lung tissue, cystic masses, empyema or mediastinal structures. chest wall, respiratory distress, sudden There are two main reasons for fluid accumulation and an initial set of tests, including fluid protein, albumin, or LD level, cell count, and appearance, is used to differentiate between the two types of fluid that may be produced, transudate or exudate. Thoracentesis is performed under local anesthesia by a provider at the clients bedside, in a procedure room, or in a provider's office. Rubins, J. Thoracentesis Therapeutic Procedure form 2 - STUDENT NAME PROCEDURE NAME REVIEW MODULE CHAPTER - Studocu system disorder student name procedure name amarantha lopez thoracentesis review module chapter description of procedure surgical perforation of the chest wall Skip to document Ask an Expert Sign inRegister Sign inRegister Home Ask an ExpertNew Your head and arms rest on a table. The needle or catheter will be removed, and a sterile dressing applied over the insertion site to help prevent infection. It is used to help diagnose and treat medical conditions causing this fluid buildup, called a pleural effusion. Thoracentesis is also known by the term thoracocentesis., Normally, only a very small amount of fluid should be between the outside of the lung and the chest wall, between the two membranes (pleura) that cover the lungs. Thoracentesis is a short, low-risk procedure done while you're awake. You can plan to wear your usual clothes. objects. Other times, a person might not have any symptoms. Patient-centered outcomes following thoracentesis. showed a trend towards reduction in Understanding the Essentials of Critical Care Nursing 3rd Edition Test Bank by Kathleen Perrin/Test Bank Care of Prior to the procedure, PA and lateral chest radiographs were performed to establish the presence of a freely flowing pleural However, there is one difference between a diagnostic and a therapeutic thoracentesisthat is, the quantity of fluid removed. McGraw-Hill, 2006. People need to be monitored after getting thoracentesis, even if they are having the procedure as an outpatient. complications of thoracentesis ati. anything is not clear. bed. THORACENTESIS ACTIVE LEARNING TEMPLATE-THERAPEUTIC PROCEDURE.pdf, Eastern Suffolk Boces Adult Education Center, Respiratory Targeted ATI Remediation.docx, Unformatted text preview: ACTIVE LEARNING TEMPLATE: Diagnostic Procedure Lorri McNeal It can also be performed to drain large effusions that lead to respiratory compromise. Do you need to be NPO before thoracentesis? Your provider can get to your back in this position and its easier to hold yourself still. Sometimes a diagnostic thoracentesis is inconclusive. These results may help your healthcare provider diagnose your specific medical condition. Chemotherapy administration into pleural cavity requiring thoracentesis: 764639: Education about disorders requiring anticoagulation therapy: 419137 . medicines, vitamins, herbs, and other supplements, Take blood-thinning medicine (anticoagulant), aspirin, or other Techniques. Incidence of pneumothorax is greatly reduced with the use of ultrasound (0.97% with ultrasound vs 8.89% without ultrasound). S[N)?lM\i(VJ0u89KI(;(^ug]<2'P4lY.oG7P`WGS'@'!9_]`E endstream endobj 5 0 obj << /Font << /F1 33 0 R /F2 61 0 R /F3 90 0 R /F4 17 0 R /F5 45 0 R /F6 68 0 R /TT1 55 0 R /F7 92 0 R /F8 9 0 R /F9 29 0 R /F10 27 0 R >> /ProcSet [ /PDF /Text ] /ExtGState << /GS1 78 0 R /GS2 62 0 R >> /ColorSpace << /Cs8 47 0 R >> >> endobj 6 0 obj << /S /D /St 222 >> endobj 7 0 obj << /Subtype /Type1C /Filter /FlateDecode /Length 723 >> stream Repeat Thoracentesis in Hepatic Hydrothorax and Non-Hepatic Hydrothorax Effusions: A Case-Control Study. We are vaccinating all eligible patients. That just means that your healthcare provider needs more information to determine the cause of your medical problems. A needle is inserted through the back of the chest wall and into the pleural space to extract pleural effusion for diagnostic (where pleural fluid is examined a.k.a. Make a small cut in your skin (incision) and insert another needle between your ribs to take out fluid. The inside of the chest is also lined with pleura. Lung ultrasound in the evaluation of pleural effusion. It should heal on its own. Thoracentesis kit 2. (2) Affix a sterile drape. pleural fluid. an invasive procedure for visualization of upper repiratory tract (treachea, larynx and bronchi) for diagnosis and management. You should be able to go back to your everyday activities, like work or school, as soon as you feel up to it. ATI has the product solution to help you become a successful nurse. -chest trauma pre: percussion, auscultation, radiography or sonography used to leffusion. accidental needle damage) during procedure Using an inhaler? Now is your chance to get an idea of what to expect. The lesion was removed in the usual manner by the biopsy method Body System Body System Cardiovascular Endocrine Gastrointestinal Immune Musculoskeletal Nervous Renal Respiratory. The space between these two layers is called the pleural space. The pleural space is bordered by the visceral and parietal pleura. problems, How much will you have to pay for the test or procedure. The needle or tube is removed when the procedure is completed. to locate pleural effusion and to determine needle insertion Ask change in electrolyte balance, Change positions slowly to decrease risk of You will be in a sitting position in a hospital bed. J Thorac Dis. - treating postoperative atelectasis. Fluid will slowly be withdrawn into the needle. Pericardiocentesis is a procedure done to remove fluid that has built up in the sac around the heart (pericardium). Thoracentesis can be fraught with patient anxiety, and pain is the most common complication. Relief of abd ascites pressure Ultrasound may also be used during the procedure to . Someone will need to drive you home. Michael Mirza, MDChristopher Bryczkowski, MD, FACEP. Become a Member; COVID-19; COURSES. 3). The area should be marked with a pen and then prepped and draped in standard surgical fashion before the procedure is performed. qualifications are, What would happen if you did not have the test or procedure, Any alternative tests or procedures to think about, Who to call after the test or procedure if you have questions or The ideal position for the patient is to sit upright leaning forward. All that extra fluid may make you feel short of breath. Ask your provider how to manage any symptoms or side effects you have after the procedure, including pain, coughing or fluid leaking from the drainage site. Available at URL: http://www.emedicine.com/MED/topic1843.htm (last accessed 6/9/06), Sahn, SA. Wiederhold BD, Amr O, O'Rourke MC. Thoracentesis or pleural tap, is a procedure in which a needle is inserted into the pleural space between the lungs and the chest wall to remove excess fluid, known as a pleural effusion, from the pleural space to help you breathe easier. b) Cleanse the procedure area with an antiseptic solution. Prior to the procedure, which of the . Your provider usually sends the drained fluid to a lab. 3. Someone will clean the skin around the area where the needle is to be inserted. Other less common causes of pleural effusion include: Tuberculosis. pNADO\Ab'8`q`6-yu5PDl_u. intra: assist provider with procedure, prepare client for feeling of pressure, The It does not require a general anaesthetic. Verywell Health's content is for informational and educational purposes only. You may feel some pressure where the mortality compared with those undergoing What Is Thoracentesis?Purpose of Thoracentesis. Chest X ray should be taken before thoracentesis is done , to diagnose the location of the fluid in the pleural cavity 3. doi:10.3978/j.issn.2072-1439.2014.12.45, Schildhouse R, Lai A, Barsuk JH, et al. Site marked and prepared with swabs of betadine. Coming to a Cleveland Clinic location?Hillcrest Cancer Center check-in changesCole Eye entrance closingVisitation, mask requirements and COVID-19 information, Notice of Intelligent Business Solutions data eventLearn more. activity for a few days. Ensure consent form is signed, gather supplies, position client ocate Failure to identify the deepest pocket of fluid, Failure to identify the diaphragm, avoiding intra-abdominal injury, Failure to use this diagnostic tool for all thoracentesis procedures. PROCEDURE NAME_____________________________________________________________________ REVIEW MODULE CHAPTER____________ Description of Procedure Blood clots in your lungs (pulmonary embolism). neoplastic conditions) A renal biopsy is used to obtain a segment of renal tissue, usually through a needle or another surgical instrument. This can cause shortness of breath Youll change into a gown thats open in the back and remove any jewelry. If youre going home afterwards, theyll continue to watch your vital signs until its OK for you to leave. NCLEX Connection: Reduction of Risk Potential, Diagnostic Tests way the procedure is done may vary. It may be done for diagnosis and/or therapy. Are you having the procedure for diagnosis, for therapy, or for both? Thoracentesis refer to the puncture by needle through the chest wall into the pleural space for the purpose of removing pleural fluid (blood, serous fluid, pus, etc) and or air (pneumothorax) Thoracentesis or pleural . The most common potentially serious complication of thoracentesis is pneumothorax. If you are having thoracentesis as an outpatient, make sure to bring your insurance card and any necessary paperwork with you. Most commonly, people have thoracentesis when they are fully awake. Performed for Therapeutic reasons such as. It is used to help diagnose and treat medical conditions causing this fluid buildup, called a "pleural effusion.". During the procedure, most people sit while their heads and arms resting on a table. Before the procedure itself, someone will set-up the tools needed. The majority of people having therapeutic thoracentesis experience improved symptoms over the next month. Thoracentesis is a procedure to remove fluid or air from around the lungs. Few post procedure complications with proceduralists 5. Your pleura is a large, thin sheet of tissue that wraps around the outside of your lungs and lines the inside of your chest cavity. 5. It also allows time for questions to clarify information and Inside the space is a small amount of fluid. space is the thin gap between the pleura of the lung and of the inner chest One of the many etiologies of dyspnea in the emergency department is a pleural effusionan abnormal collection of fluid in the pleural space. 10 Comments Please sign inor registerto post comments. hospital gown to wear. for a day or two. It can give you answers about whats causing the fluid around your lungs and relieve pressure that makes it hard to breathe. Surgical perforation of the chest wall and pleural space with a large-bore needle.It is performed to obtain specimens for Diagnostic and therapeutic procedures including thoracentesis involve placing needles through the chest wall into the pleural space. What should I expect during the procedure? Will you have ultrasound guidance during your procedure? Which of the following action should the nurse take? Thoracentesis shouldnt be painful. If you have a pleural effusion, you may need to have thoracentesis done to look for the cause or to make you more comfortable. : an American History, CWV-101 T3 Consequences of the Fall Contemporary Response Worksheet 100%, Leadership class , week 3 executive summary, I am doing my essay on the Ted Talk titaled How One Photo Captured a Humanitie Crisis https, School-Plan - School Plan of San Juan Integrated School, SEC-502-RS-Dispositions Self-Assessment Survey T3 (1), Techniques DE Separation ET Analyse EN Biochimi 1, Advanced Medical-Surgical Nursing (NUR2212). In some cases, a flexible tube (catheter) Thoracentesis, commonly known as a pleural tap or chest tap, is a procedure where excess pleural fluid is drained from the pleural space for diagnostic and/or therapeutic reasons. Thoracentesis, commonly known as a pleural tap or chest tap, is a procedure where excess pleural fluid is drained from the pleural space for diagnostic and/or therapeutic reasons. Iatrogenic Pneumothorax. Nature of the procedure or treatment and who will perform the procedure or treatment. 2021; 13:5242-50. In contrast, infection or cancer would be more likely to cause exudates. These terms are just general categories that can help your clinician discover what is going on with your health. Are allergic to any medications (including anesthetics), latex or tape (adhesives). The lab will look for signs of infectious diseases or other causes of pleural effusion. Autoimmune disease. Some common tests that might be run on the fluid include the following: Other tests may be necessary under specific circumstances, like tests for tumor markers or tests for markers of congestive heart failure.. determine etiology, differentiate transudate The needle and catheter are used to drain the excess fluid in the area. -auscultate lungs is removed. Color flow doppler can help differentiate free-flowing effusion versus a hypoechoic mass. Ask any considerations. It causes symptoms like: Chest pain. Removal of this fluid by needle aspiration is called a thoracentesis. Appendicectomy & Appendectomy = same procedure, different terminology. Purpose The lungs are lined on the outside with two thin layers of tissue called pleura. It also relieves pressure on your lungs, making it easier to breathe. thoracentesis involves pleural fluid analysis to distinguish between exudate, which may result from inflammatory or malignant conditions, and transudate, which may result from failure of organ systems that affect fluid balance in the body. A needle is put through the chest wall into the pleural space. -infection, -monitor vital sings watched. Thats because thoracentesis sometimes causes complications. Ultrasound-guided thoracentesis performed by radiologists has been shown to have fewer complications than blind thoracentesis. Stone CK, Humphries RL. cancerous cells, or address other Connect you to machines to watch your heart rate and other vital signs. With proper training in both thoracentesis itself and the use of bedside ultrasonography, providers can perform this procedure safely and successfully. It is the responsibility of the provider, not the nurse, to explain the procedure to the client. by your healthcare provider, Plan to have someone drive you home from the hospital, Follow any other instructions your healthcare provider gives you. You may get an infection in your wound, or in the lining of your abdomen. They may ask you to: Before a thoracentesis, your provider will take your blood pressure and use a small device on your finger to measure your blood oxygen level. 1. using a thoracentesis tray (Turkel Safety Thoracentesis Tray; Sherwood, Davis, and Geck; St. Louis [Fig 1]). However, some people need to have thoracentesis repeated if a pleural effusion comes back due to their underlying medical condition. Not appreciating that the lung is a moving structure. - removal of foreign bodies and secretions from tracheobronchial tree. What to expect when undergoing this test or treatment. You also might need imaging under other circumstances that increase your risk of complications, such as having multiple needle insertions, having advanced lung disease, if you are on mechanical ventilation, or if a large volume of fluid was removed. Sometimes people also receiving medical imaging after thoracentesis to assess any remaining fluid. In patients with adverse prognostic factors (pH 7.20, glucose 60 mg/dL ( Advertising on our site helps support our mission. You may have imaging tests before the procedure. Interpreting Results. Your provider will have you sit with your arms resting on a table. With this apparatus, one constantly aspirates as the catheter is advanced through the chest wall. Although thoracentesis is generally considered safe, procedural complications are associated with increased morbidity, mortality, and healthcare costs. It can needle. PROCEDURE NAME ____________________________________________________________________ REVIEW MODULE CHAPTER ___________, Paracentesis is a procedure in which a needle or catheter is inserted into the peritoneal cavity Position pt supine with head of bed elevatedAssist pt with relaxation technique National Heart, Lung, and Blood Institute. Cleveland Clinic is a non-profit academic medical center. study/diagnostic-medical-sonography/ Complete the ATI TEAS AH (Allied Health) program pre-entrance exam with a competitive score prior to March 1st. If thoracentesis is being performed for symptom relief, as well as for use as a diagnostic test, it is important to be aware that there is a risk the effusion will reaccumulate. You also might cough or experience chest pain as your healthcare provider draws out the excess fluid around your lungs. Saguil A, Wyrick K, Hallgren J. Arteries are blood vessels that carry blood away from the heart. Thoracentesis is performed by the physician and is done by inserting a needle and small, flexible catheter (tube) into the pleural space. Thoracentesis is a procedure to remove fluid or air from around the lungs. (Fig. Thoracentesis is used diagnostically to establish the cause of a pleural effusion. Transudates are thinner and more clear, occurring from fluid flowing out of the lung capillaries. improve a patient's breathing, a procedure called a thoracentesis is done. What is thoracentesis. It does not require a general anaesthetic. Thoracentesis is defined as introducing a hollow needle into pleural cavity and aspirating fluid or air, using aseptic technique. This allows excess fluid to continue to be removed continuously. You should also review your medications with your clinician. In the past, thoracentesis was often performed at the bedside without any kind of imaging. Start studying Comprehensive ATI 2019 B. b. Thoracentesis is a procedure to remove fluid or air from around the lungs. Adult Health-1 - All ATI BOOK Questions (Exam-1) (Session - March 2019) This Notes covers ATI Book Unit-3 (Respiratory Disorders), Unit-4 (Cardiovascular Disorders), and Unit-6 (Fluid and Electrolyte Imbalance) ATI UNIT-3 RESPIRATORY DISORDERS Ch-17 Respiratory Diagnostic Procedures A nurse is caring for a client who is scheduled for a thoracentesis. Add to cart. Client should remain absolutely still (risk of Lying in bed on the unaffected side. Removes pressure of patients needing to go the ER or being admitted for routine drainages 3. Call your healthcare provider if you have any of the below: Fever of 100.4F (38C) or higher, or as advised by your healthcare provider with the procedure. You may be given oxygen through a nasal tube or face mask. Maher AlQuaimi. #0l/KIJv?45.!cAO'~m&#c|H[jJAIqb!fmjjwaXkE#%*]f+/V9W*x!&EPewqdlde#G&c|/$mn,Xl%bbMHDt3jE'W: I^`WlQrJ)M2X7onk1*dG,YX~y1lr W4S2rL-U:N]F{FT-FtIRk;wjdG>@PtW92[4$4?hKcG}u~i96E U'[[_WTfGSt[PZ5%cH(Wqqi bcOxvD;mj!!cqS^;%gC #\d dfCLM Analysis of this tissue is then used in the diagnosis of an underlying renal condition. *Empyema Report at a scam and speak to a recovery consultant for free. A diagnostic thoracentesis may be repeated if initial results fail to yield a diagnosis. The most common causes of pleural effusions are the following: However, other medical causes are also possible, including certain autoimmune diseases and other problems affecting the cardiovascular, gastrointestinal, or pulmonary systems. : an American History (Eric Foner), Biological Science (Freeman Scott; Quillin Kim; Allison Lizabeth), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Principles of Environmental Science (William P. Cunningham; Mary Ann Cunningham), Psychology (David G. Myers; C. Nathan DeWall), Brunner and Suddarth's Textbook of Medical-Surgical Nursing (Janice L. Hinkle; Kerry H. Cheever), Business Law: Text and Cases (Kenneth W. Clarkson; Roger LeRoy Miller; Frank B. Lying in bed on the unaffected side. THORACENTESIS ACTIVE LEARNING TEMPLATE-THERAPEUTIC PROCEDURE.pdf 1 Cardiovascular Diagnostic and Therapeutic Procedures_Managing an Arterial Line.pdf 1 Chest Tube.pdf 1 ALT infection control.docx 2 chest tubes.pdf 1 COPD.pdf 1 homework View More Related Q&A PN pharmacology 2020 ATI proctored assessment exam Q&A your healthcare provider says its OK. The skin where the needle will be put in will be cleaned with an Thoracentesis is a procedure to remove fluid from the space between the lining of the outside of the lungs (pleura) and the wall of the chest. -monitor for manifestations of pneumothorax Ascitic fluid may be used to helpdetermine the etiology of ascites, as well as to evaluate for infection or presence of cancer. Recovery time for thoracentesis is short. Get useful, helpful and relevant health + wellness information. -pneumothorax Measure fluid and document amount and colorSend specimen to the Labs Ultrasound allows the distinction between effusion and lung consolidations, and the diagnostic accuracy of ultrasound for pleural effusions is superior (93%), compared to auscultation (61%) and AP chest radiograph (47%), using chest CT as the reference standard. A thoracentesis is a minimally invasive procedure that involves a doctor removing fluid or air from the pleural space around your lungs with a A thoracentesis.